Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, December 25, 2022

Does Spasticity Reduction by Botulinum Toxin Type A Improve Upper Limb Functionality in Adult Post-Stroke Patients? A Systematic Review of Relevant Studies

When I got botox in the upper arm, I got zero functional improvements. Spasticity is still present and is the only reason I can't recover.  Only 9 years old, has your stroke hospital quit using it yet?

Does Spasticity Reduction by Botulinum Toxin Type A Improve Upper Limb Functionality in Adult Post-Stroke Patients? A Systematic Review of Relevant Studies

2013, Journal of Neurology & Neurophysiology

 Abstract

Objective: 
 
Botulinum toxin type A (BTX-A) use reduces upper limb (UL) spasticity in stroke patients, but the effects on functional recovery remain uncertain. The aim of present review was to ascertain if the reduction of spasticity by use of BTX-A was linked to a functional gain of UL or in activity of daily living in post-stroke patients.
Data source: 
 
Search of relevant studies was conducted on MEDLINE, the Cochrane Central Register of Controlled Trials and EMBASE (1995 to July 2012).
Study selection: 
 
Only randomized studies (RT) treating patients with UL post-stroke spasticity by BTX-A injection were included. Prospective open label, case series, cohort studies and case reports were excluded.
Data synthesis: 
 
Thirty-four RTs were individuated, but only 16 were considered in the analysis. Trials varied widely in methodological design and measures used in assessing UL ability. Benefit in UL functional recovery was reported in 13 studies, but only in six the result was significant.
Conclusion: 
 
some oriented-focused movements of UL unequivocally improve after reduced spasticity by BTX-A treatment, but evidence that arm functionality in adult post-stroke patients significantly benefit from this intervention is still doubt. No improvement in global functionality of activity daily living was observed.

Posted by at
Labels: , , ,

1 comment:

  1. AnonymousDecember 26, 2022 at 6:14 PM

    Agree I had Botox injections 6x's and zero noticeable improvement. I scheduled extra OT/PT sessions following the injections with the hope of getting noticeable results/improvements in my arm, hand & finger movements/functions. But the result was zero ....just big bucks for the neurologist and facility administering the Botox.
    Time to move onto something else.
    Tim concretetim1

    ReplyDelete

Subscribe to: Post Comments (Atom)